Carter Hannah-Kaye, Keighley John, Pepper Sam, Ratnayake Isuru, Chollet Hinton Lynn, Van Goethem Karla, Krebill Hope, Mudaranthakam Dinesh Pal
Department of Population Health, Health Policy, & Management, University of Kansas Medical Center, 3901 Rainbow Blvd., Kansas City, KS 66160 USA.
The University of Kansas Cancer Center, University of Kansas Medical Center, 3901 Rainbow Blvd., Kansas City, KS 66160.
Prev Oncol Epidemiol. 2024;2(1). doi: 10.1080/28322134.2024.2377621. Epub 2024 Jul 16.
Patients without insurance often wait until their symptoms become severe before seeking treatment. While done to avoid the cost of preventative care, this decision leads to uninsured patients presenting with more advanced diseases. This trend can be clearly seen in cancer care. Research shows that uninsured adults are less likely to receive cancer screenings than their insured counterparts, more likely to be diagnosed with cancer at a later stage and have an increased risk for death for certain types of cancer.
We aim to calculate the overall uninsured rate for cancer patients across The University of Kansas Cancer Center's (KUCC) catchment area and estimate the uninsured rate for patients treated within a large health system in the state of Kansas.
A literature review was conducted to collect the uninsured rates for Kansas and Missouri by age group. Three datasets were used to generate an overall uninsured rate for both states for the age groups of 0-19, 20-64, and 65 or older. The cancer incidence was derived using the 2020 estimated number of KUCC cases and the mean percentage of 2015-2019 cases for the corresponding age groups. The estimated uninsured and cancer incidence rates were then used to calculate the overall uninsured cancer rate.
The total number of estimated 2020 KUCC cases was 24,412, with 0.86%, 42.56%, and 56.58% being the percentage per the age groups 0-19, 20-64, and 65+. The estimated uninsured rate per age group was 5.33%, 13.49%, and 0.40%. Based on these results, there were an estimated number of 11 uninsured cancer patients in the MCA area between the ages of 0-19, 1,401 between the ages of 20-64, and 55 uninsured cancer patients over the age of 65. This yielded an overall uninsured cancer rate of 6.01%.
没有保险的患者通常会等到症状严重时才去寻求治疗。虽然这样做是为了避免预防性护理的费用，但这一决定导致未参保患者就诊时所患疾病更为严重。这种趋势在癌症治疗中尤为明显。研究表明，与有保险的成年人相比，未参保成年人接受癌症筛查的可能性更低，更有可能在晚期被诊断出患有癌症，并且某些类型癌症的死亡风险更高。
我们旨在计算堪萨斯大学癌症中心（KUCC）服务区域内癌症患者的总体未参保率，并估算堪萨斯州一个大型医疗系统内接受治疗患者的未参保率。
进行文献综述以收集堪萨斯州和密苏里州按年龄组划分的未参保率。使用三个数据集得出两个州0 - 19岁、20 - 64岁和65岁及以上年龄组的总体未参保率。癌症发病率是根据2020年KUCC病例的估计数量以及2015 - 2019年相应年龄组病例的平均百分比得出的。然后使用估计的未参保率和癌症发病率来计算总体未参保癌症率。
2020年KUCC病例的估计总数为24,412例，其中0 - 19岁、20 - 64岁和65岁及以上年龄组的占比分别为0.86%、42.56%和56.58%。各年龄组的估计未参保率分别为5.33%、13.49%和0.40%。基于这些结果，在MCA区域估计有11名0 - 19岁的未参保癌症患者，1401名20 - 64岁的未参保癌症患者，以及55名65岁以上的未参保癌症患者。这得出总体未参保癌症率为6.01%。
